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Provider 1467496802

NPI: 1467496802Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.0M

$13,034,509

Total Claims

396K

Beneficiaries

324K

1.2 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-8%
2019
$1.5M
-21%
2020
$1.2M
+55%
2021
$1.8M
+45%
2022
$2.6M
-1%
2023
$2.6M
-29%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 14% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$1.8M

29K claims · 14.1%

Your Cost: $63.81/claim|Median: $42.48
1.5× median
80053Top 5%

Comprehensive metabolic panel

$1.7M

19K claims · 13.3%

Your Cost: $88.91/claim|Median: $7.24
12.3× median
99282Top 25%

Emergency dept visit, low complexity

$832K

6,256 claims · 6.4%

Your Cost: $132.92/claim|Median: $37.72
3.5× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$803K

8,270 claims · 6.2%

Your Cost: $97.11/claim|Median: $21.76
4.5× median
11042Top 5%

Debridement, subcutaneous tissue, first 20 sq cm

$453K

924 claims · 3.5%

Your Cost: $490.59/claim|Median: $36.13
13.6× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$406K

5,714 claims · 3.1%

Your Cost: $71.14/claim|Median: $9.56
7.4× median
87502Top 1%

Influenza virus detection, reverse transcription, amplified probe

$373K

1,802 claims · 2.9%

Your Cost: $207.23/claim|Median: $65.64
3.2× median
80048Top 5%

Basic metabolic panel

$336K

5,341 claims · 2.6%

Your Cost: $62.98/claim|Median: $5.78
10.9× median
87086Top 1%

Urine culture, colony count, with identification

$291K

3,527 claims · 2.2%

Your Cost: $82.44/claim|Median: $5.31
15.5× median
81025Top 5%

Urine pregnancy test

$290K

12K claims · 2.2%

Your Cost: $24.77/claim|Median: $4.81
5.1× median
99284Normal range

Emergency dept visit, high complexity

$275K

21K claims · 2.1%

Your Cost: $13.19/claim|Median: $69.51
0.2× median
36415Top 1%

Collection of venous blood by venipuncture

$245K

5,009 claims · 1.9%

Your Cost: $49.00/claim|Median: $1.57
31.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$236K

5,038 claims · 1.8%

Your Cost: $46.94/claim|Median: $39.70
1.2× median
84702Top 1%

$236K

3,167 claims · 1.8%

Your Cost: $74.52/claim|Median: $8.25
9.0× median
87210Top 1%

$234K

2,810 claims · 1.8%

Your Cost: $83.11/claim|Median: $3.65
22.8× median
86900Top 1%

$226K

2,305 claims · 1.7%

Your Cost: $98.20/claim|Median: $2.55
38.5× median
87651Top 1%

Streptococcus Group A detection, nucleic acid, amplified probe

$192K

1,856 claims · 1.5%

Your Cost: $103.71/claim|Median: $28.46
3.6× median
96360Top 25%

IV infusion, hydration, initial, 31 minutes to 1 hour

$183K

1,177 claims · 1.4%

Your Cost: $155.60/claim|Median: $61.57
2.5× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$181K

5,952 claims · 1.4%

Your Cost: $30.35/claim|Median: $14.92
2.0× median
81002Top 1%

Urinalysis, non-automated without microscopy

$178K

1,408 claims · 1.4%

Your Cost: $126.28/claim|Median: $2.00
63.1× median
81001Top 5%

Urinalysis, automated, with microscopy

$177K

7,472 claims · 1.4%

Your Cost: $23.62/claim|Median: $2.03
11.6× median
77067Normal range

Screening mammography, bilateral, including CAD

$173K

2,910 claims · 1.3%

Your Cost: $59.60/claim|Median: $39.33
1.5× median
82962Top 1%

Blood glucose test by monitoring device

$156K

4,859 claims · 1.2%

Your Cost: $32.16/claim|Median: $1.40
23.0× median
87804Top 25%

Influenza virus detection, rapid test

$150K

5,757 claims · 1.2%

Your Cost: $26.09/claim|Median: $12.59
2.1× median
71046Top 25%

Chest X-ray, 2 views

$142K

6,208 claims · 1.1%

Your Cost: $22.88/claim|Median: $8.92
2.6× median
81003Top 5%

Urinalysis, automated without microscopy

$142K

8,282 claims · 1.1%

Your Cost: $17.12/claim|Median: $1.48
11.6× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$139K

2,020 claims · 1.1%

Your Cost: $68.91/claim|Median: $54.77
1.3× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$132K

1,482 claims · 1.0%

Your Cost: $89.04/claim|Median: $35.43
2.5× median
76815Normal range

Ultrasound, pregnant uterus, limited

$116K

2,290 claims · 0.9%

Your Cost: $50.63/claim|Median: $36.79
1.4× median
87081Top 5%

Culture screening for pathogenic organisms

$107K

1,210 claims · 0.8%

Your Cost: $88.58/claim|Median: $5.09
17.4× median
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